Neurologic Wellness Institute PLLC
Organization Active NPI Neurology Chiropractor · Boca Raton, FL
NPI 1154073302 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1154073302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Chiropractor 111NN0400X
- Legal business name
- NEUROLOGIC WELLNESS INSTITUTE PLLC
- Practice address
- 7700 Camino Real Ste 320
Boca Raton, FL 33433-5576 - Phone
- (908) 418-0721
- NPI assigned
- Jan 19, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Kelsey Brenner, DC, DACNB
- Title
- Owner
- Phone
- (908) 418-0721
Practitioners 24
-
David Traster, DC
-
Pretzel A Ceniza, PT
-
Kara Anne Hoevel, DC
-
Jerry A Iavarone, D.C.
-
Cassandra Liz Jimenez Fernandez, DC, DACNB
-
Hannah Massey, DC
-
George K. Michalopoulos, D.C.
-
Nathaniel Proce, DC
-
Kayla L Ryan, DC
-
Chris Sahli, D.C.
-
Karl Sarceno, LPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220408001543 | FL | Part B Supplier - Clinic/Group Practice | 4486040938 |
Receives reassigned benefits from 3 practitioners Practice locations: Boca Raton, FL |
National Provider Directory
Locations
7700 Camino Real
Ste 320
Boca Raton, FL 33433
Phone (630) 766-1522
7700 Camino Real
Boca Raton, FL 33433
199 S Addison Rd
Wood Dale, IL 60191
Phone (630) 766-1552
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor |
111NN0400X | Yes |
Addresses
Primary practice location
7700 Camino Real Ste 320
Boca Raton, FL 33433-5576
Mailing address
7623 NW 122ND Dr
Parkland, FL 33076-4542
Phone (908) 418-0721
Other providers in Boca Raton, FL
- Neuro-Med Associates
- Neuro-Rhythm LLC
- Neurodoc Testing LLC
- Neuroguide Alliance PLLC
- Neurohealth of South Florida LLC
- Neurological Disorders Clinic PA
- Neurological Group of South Florida Inc.
- Neurological Microsurgical Asoc.
- Neurology Centers of Palm Beach Inc
- Neurology Consultants of Boca Raton PA
All providers in Boca Raton, FL · Neurology Chiropractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.